Individual
ALICIA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15720 VENTURA BLVD STE 609, ENCINO, CA 91436-4733
(310) 415-1025
Mailing address
15304 ALBERS ST APT 13, SHERMAN OAKS, CA 91411-3487
(818) 782-3489
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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